| NPI | 1073974275 |
|---|---|
| Doing Business As | EL SEGUNDO BEAUTIFUL SMILES |
| Entity Type | Organization |
| Authorized Contact | SILVIA CARDONA President 310-322-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36897) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 62446) |
| 1223G0001X Dentist, General Practice (Licence: CA 62440) | |
| 1223G0001X Dentist, General Practice (Licence: CA 63918) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |